CPT 88313 pays $80.83 in a non-facility setting and $80.83 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $70.29 in Arkansas to $94.22 in District of Columbia, a 34% spread.
National non-facility rate
$80.83
Office and other outpatient settings
Hospital and ASC settings
District of Columbia
Arkansas · 34% spread
53 Medicare jurisdictions, highest to lowest. State values average every locality in the jurisdiction at a 33.4009 conversion factor.
| State | Rate compared visually | Non-facility | Facility |
|---|---|---|---|
| District of Columbia | $94.22 | $94.22 | |
| California | $94.08 | $94.08 | |
| Washington | $91.08 | $91.08 | |
| Hawaii | $90.48 | $90.48 | |
| New Jersey | $90.41 | $90.41 | |
| Massachusetts | $89.90 | $89.90 | |
| New York | $89.81 | $89.81 | |
| Alaska | $89.08 | $89.08 | |
| Connecticut | $86.71 | $86.71 | |
| Colorado | $85.41 | $85.41 | |
| Oregon | $84.58 | $84.58 | |
| Maryland | $84.06 | $84.06 | |
| New Hampshire | $83.72 | $83.72 | |
| Rhode Island | $83.30 | $83.30 | |
| Minnesota | $82.46 | $82.46 | |
| Florida | $81.70 | $81.70 | |
| Puerto Rico | $81.62 | $81.62 | |
| Virgin Islands | $81.62 | $81.62 | |
| Montana | $80.83 | $80.83 | |
| Nevada | $80.79 | $80.79 | |
| Wyoming | $80.66 | $80.66 | |
| North Dakota | $80.43 | $80.43 | |
| South Dakota | $80.39 | $80.39 | |
| Delaware | $79.93 | $79.93 | |
| Vermont | $79.78 | $79.78 | |
| Texas | $79.70 | $79.70 | |
| Pennsylvania | $79.46 | $79.46 | |
| Virginia | $79.40 | $79.40 | |
| Illinois | $79.02 | $79.02 | |
| Arizona | $78.49 | $78.49 | |
| Georgia | $77.64 | $77.64 | |
| Maine | $77.36 | $77.36 | |
| Wisconsin | $77.32 | $77.32 | |
| Michigan | $76.68 | $76.68 | |
| Utah | $76.41 | $76.41 | |
| North Carolina | $75.73 | $75.73 | |
| South Carolina | $75.22 | $75.22 | |
| Indiana | $75.20 | $75.20 | |
| New Mexico | $74.95 | $74.95 | |
| Missouri | $74.85 | $74.85 | |
| Nebraska | $74.83 | $74.83 | |
| Idaho | $74.68 | $74.68 | |
| Louisiana | $74.56 | $74.56 | |
| Ohio | $74.53 | $74.53 | |
| Iowa | $74.27 | $74.27 | |
| Tennessee | $73.93 | $73.93 | |
| Kansas | $73.54 | $73.54 | |
| Oklahoma | $72.93 | $72.93 | |
| Kentucky | $72.73 | $72.73 | |
| West Virginia | $71.62 | $71.62 | |
| Alabama | $71.48 | $71.48 | |
| Mississippi | $70.58 | $70.58 | |
| Arkansas | $70.29 | $70.29 |
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.
See negotiated rates